15th January 2024

An 80-year-old lady is admitted with acute COPD exacerbation and being managed with IV antibiotics, steroids and fluids.

An 80-year-old lady is admitted with acute COPD exacerbation and being managed with IV antibiotics, steroids and fluids. As the medical registrar on call, you are called to assess the patient as she has now become confused and agitated.

On examination, she is found to be flushed and breathless, with a positive flapping tremor. What is the most likely cause of her deterioration?

Select the SINGLE most appropriate option from the list below. Select ONE option only.